Repair of an iatrogenic lacrimal fistula: a case report

Abstract

Lacrimal cutaneous fistula is an uncommon yet clinically significant condition leading to persistent epiphora, recurrent infections, and significant patient discomfort. It can be congenital or acquired. Timely identification and appropriate surgical management are crucial to alleviate symptoms and restore normal lacrimal system functionality. This case report describes the presentation and surgical management of an iatrogenic lacrimal cutaneous fistula in a 68-year-old patient. The surgical intervention involved a novel stripping technique, which successfully resolved the fistula without requiring special instruments. The patient’s post-operative recovery was positive, with complete closure of the fistulous tract and restoration of normal lacrimal system function. This report underscores the efficacy of the stripping technique for managing iatrogenic lacrimal fistulas and suggests its consideration for similar cases.